Inspection Reports for
The Rivers at Maryland Farms

103 Arcaro Pl, Brentwood, TN 37027, United States, TN, 37027

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3 Reports

2025–2026

Inspection Report — Aug 26, 2026

Enforcement
Date: Aug 26, 2026

Visit Reason
Contingent Change of Ownership Order approving a change of ownership application for license number 103 following multiple facility surveys; the order references surveys completed on 10/06/2023, 08/28/2024, 12/18/2024, 04/09/2025, 05/28/2025, 07/07/2025, 09/05/2025, 10/28/2025, 11/21/2025, 01/08/2026, and 02/25/2026.

Findings
The Commission granted the change of ownership subject to specified corrective conditions, authorized issuance of the Applicant's wall license, allowed appointment of a temporary manager, placed the Respondent on probation for up to six months, and required submission and implementation of corrective actions in lieu of civil monetary penalties.

Citations (13)
Tenn. Comp. R. & Reg. 0720-26-07(5)(b): Failure to ensure that drugs and biologicals were administered by a licensed or certified health care professional according to resident plans of care.
Tenn. Comp. R. & Reg. 0720-26-07(6)(g): Failure to properly dispose of resident medications and to address disposal of scheduled and non-scheduled drugs in the facility's medication disposal policy.
Tenn. Comp. R. & Reg. 0720-26-07(7)(a)(2): Failure to provide safety for residents while in the assisted-care living facility.
Tenn. Comp. R. & Reg. 0720-26-07(7)(a)(3): Failure to maintain daily awareness of residents' whereabouts.
Tenn. Comp. R. & Reg. 0720-26-12(3)(i): Failure to document the time and circumstances of discharge or transfer, including condition at discharge or transfer, in resident medical records.
Tenn. Comp. R. & Reg. 0720-26-12(5)(a): Failure to develop and review resident plans of care with required input and within required timeframes.
Tenn. Comp. R. & Reg. 0720-26-07(7)(c)(5): Failure to maintain a clean and sanitary kitchen.
Tenn. Comp. R. & Reg. 0720-26-08(7): Failure to provide documented plans and procedures for the evacuation of all residents.
Tenn. Comp. R. & Reg. 0720-26-08(8): Failure to ensure all admitted residents could evacuate within thirteen (13) minutes or to comply with required building and life safety code provisions.
Tenn. Comp. R. & Reg. 0720-26-10(3)(a): Failure to hold fire drills for each work shift in each separate ACLF building at least quarterly.
Tenn. Comp. R. & Reg. 0720-26-10(3)(b): Failure to conduct one fire drill per quarter during sleeping hours.
Tenn. Comp. R. & Reg. 0720-26-10(2)(c): Failure to adopt a written fire control plan.
Tenn. Comp. R. & Reg. 0720-26-07(5)(d): Failure to store resident medications in a locked or closed container or room.
Report Facts
Probation length in months: 6 Temporary manager maximum months: 12 Evacuation timeframe minutes: 13

Inspection Report — Nov 13, 2025

Follow-Up
Date: Nov 13, 2025

Visit Reason
Letter ordering the lifting of the Suspension of Admissions after a follow-up survey conducted on October 20, 2025; the suspension followed an earlier revisit survey conducted September 18–19, 2025 and was effective October 11, 2025.

Findings
The Executive Director ordered the lifting of the Suspension of Admission of new residents and the release of the special monitor on November 13, 2025. The October 20, 2025 follow-up survey cited additional deficiencies requiring the facility to return to substantial compliance.

Report Facts
Sanction lifted: 1

Inspection Report — Oct 10, 2025

Enforcement
Date: Oct 10, 2025

Visit Reason
Notice of Suspension of Admissions and Assessment of Civil Monetary Penalties issued by the Executive Director following a revisit survey completed on October 3, 2025 that revealed continued violations considered detrimental to residents' health, safety, or welfare.

Findings
The Executive Director suspended new admissions effective October 11, 2025 at 5:00 p.m. C.T. and assessed three civil monetary penalties of $3,000 each, totaling $9,000, for violations of ACLF safety, awareness of whereabouts, and plan of care rules.

Citations (3)
Tenn. Comp. R. & Reg. 0720-26-.07(7)(a)(2): Safety when in the ACLF. Respondent failed to provide safety measures to ensure Resident #5 did not leave the facility without the knowledge or supervision of staff.
Tenn. Comp. R. & Reg. 0720-26-.07(7)(a)(3): Daily awareness of the individual's whereabouts. Respondent was aware Resident #5 had a history of leaving the facility and staff had no knowledge of the resident's whereabouts.
Tenn. Comp. R. & Reg. 0720-26-.12(5)(a): Plan of care. Respondent failed to fully implement its plan of care and failed to revise the plan of care as residents' needs changed.
Report Facts
Civil monetary penalties assessed: 3 Total civil monetary penalty amount: 9000 Suspension of admissions: 1 Deficiencies cited: 3

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